Evidence map›Paper›PMID 26026953›Full record

ArticleIrish journal of medical science2016

Demographic and clinical factors predicting retention in methadone maintenance: results from an Irish cohort.

C D Darker, J Ho, G Kelly, L Whiston, J Barry

Open access · bronzeAbstract read
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In one paragraph

Article in Irish journal of medical science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

C D DarkerDepartment of Public Health and Primary Care, Trinity Centre for Health Sciences, Trinity College Dublin, Tallaght Hospital, Dublin 24, Ireland. Catherine.darker@tcd.ie.
J HoDepartment of Public Health and Primary Care, Trinity Centre for Health Sciences, Trinity College Dublin, Tallaght Hospital, Dublin 24, Ireland.
G KellyDepartment of Public Health and Primary Care, Trinity Centre for Health Sciences, Trinity College Dublin, Tallaght Hospital, Dublin 24, Ireland.
L WhistonDepartment of Public Health and Primary Care, Trinity Centre for Health Sciences, Trinity College Dublin, Tallaght Hospital, Dublin 24, Ireland.
J BarryDepartment of Public Health and Primary Care, Trinity Centre for Health Sciences, Trinity College Dublin, Tallaght Hospital, Dublin 24, Ireland.
Tallaght University Hospital · IETrinity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRetention in Methadone Maintenance Treatment (MMT) is superior to that of other therapies for opioid addiction, but with international retention rates around 50 % after 1 year of treatment, there remains a need for improved retention rates.

aimsThis study aimed to explore the demographic and clinical factors predicting retention in MMT.

methodsFace-to-face surveys with MMT patients in a Dublin methadone clinic were conducted. Retention was assessed by the presence and duration of breaks in treatment at any stage.

results189 patients participated in the study. 46 % (n = 87) reported having at least one break in treatment, and the median duration of a break was 3 months. Age, current methadone dose and prescription of antipsychotic medication were significant predictors of retention. Patients who were older, single, living in their own home, on a higher dose of methadone, or taking antipsychotic medications had fewer breaks in treatment. Males tended to have significantly longer breaks. Patients reported that the main reasons for breaks were relapse into drug use (21.8 %, n = 19), incarceration (11.4 %, n = 10), weary of MMT (13.7 %, n = 12) or problems at the clinic (10.3 %, n = 9). Factors enabling regular attendance included wanting to get or stay clean (37.5 %, n = 51), avoidance of withdrawal symptoms (16.1 %, n = 22), methadone dependence (13.9 %, n = 19) and services provided (10.2 %, n = 14).

conclusionPatients who were older, single, living in their own home, on a higher dose of methadone, or taking antipsychotic medications had fewer breaks in treatment.

Indexed as

AdultAnalgesics, OpioidCross-Sectional StudiesFemaleHumansMaleMethadoneOpiate Substitution TreatmentOpioid-Related DisordersSurveys and QuestionnairesAnalgesics, OpioidMethadoneClinical factorsDemographic factorsMethadone maintenance therapyRetention

Identifiers

PMID26026953
OpenAlexW1785550599

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.